Diagnostic tactics optimization in patients with abnormal uterine bleeding during peri- and postmenopause

• Ashrafyan Lev A.
• Antonova Irina B.
• Ivashina Svetlana V.
• Babaeva Nataliya A.
• Aleshikova Olga I.
• Igor I. Baranov

Abstract

In the article spectrum of pathological processes that can cause abnormal uterine bleeding during peri- and postmenopause is studied. Sonography informativeness in group of perimenopausal patients was low - 57.9%. High efficiency of ultrasonic tomography in postmenopausal patients with uterine bleeding has been demonstrated. When informative was 86.0%, accuracy, sensitivity and specificity were 93.0; 93.8; 91.9% respectively. Principles of primary diagnostics in patients with abnormal uterine bleeding in peri-and postmenopause have been developed. In case of convincing evidences of primary diagnostics in relation to endometrial cancer existence, only aspiration biopsy should be used, excluding endoscopic examination.

Keywords:abnormal uterine bleeding, postmenopause, endometrial cancer, ultrasonic tomography, hysteroscopy

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